THUNDER BAY COMMUNITY HEALTH SERVICE, INC (NPI# 1467837336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467837336 |
| Entity Type | Organization |
| Organization Name | THUNDER BAY COMMUNITY HEALTH SERVICE, INC |
| Other Organization Name | INLAND LAKES SECONDARY SCHOOL |
| Practice Address |
4363 S Straits Hwy Indian River MI 49749-9457 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9893542197 |
| Mailing Telephone | 9893542197 |
| Mailing Fax Number | 9893566524 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | MICHELLE STYMA (CEO) |
| Authorized Official Telephone | 9897424583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Inland Lakes Secondary School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382677 | Thunder Bay Community Health Service, Inc | Clinic/Center | 609 W Central Ave Rm Tb1, Mackinaw City, MI 49701-9650 | 2019-12-05 |
| 1609435536 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1033 W Huron Ave Rm Tb1, Rogers City, MI 49779-1428 | 2019-06-13 |
| 1952960197 | Thunder Bay Community Health Service, Inc | Clinic/Center | 311 N Washington St Rm Tb1, Hale, MI 48739-8516 | 2019-06-11 |
| 1750864112 | Thunder Bay Community Health Service, Inc | Clinic/Center | 5993 W Sholes St, Wolverine, MI 49799-9549 | 2018-09-12 |
| 1396292777 | Thunder Bay Community Health Service, Inc | Clinic/Center | 13131 Brook St, Wolverine, MI 49799-8406 | 2016-09-02 |
| 1750751392 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1110 8th Street, Mio, MI 48647-9140 | 2015-09-25 |
| 1558730234 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1879 E Miller Rd, Fairview, MI 48621-8705 | 2015-09-23 |
| 1568846574 | Thunder Bay Community Health Service, Inc | Clinic/Center | 6800 Wilson Rd, Indian River, MI 49749-9447 | 2015-07-20 |
| 1124402136 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4580 Montmorency St, Lewiston, MI 49756-7862 | 2015-07-20 |
| 1144603705 | Thunder Bay Community Health Service, Inc | Dentist | 26042 M 32 S, Hillman, MI 49746-9788 | 2015-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THUNDER BAY COMMUNITY HEALTH SERVICE, INCORPORATED | 15774 State St, Hillman, MI 49746-8818 |
| Street Address |
4363 S STRAITS HWY |
| City | INDIAN RIVER |
| State | MI |
| Zip Code | 49749-9457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518497353 | Kane Rx Inc | Pharmacy | 3944 South Straits Hwy, Indian River, MI 49749 | 2017-06-14 |
| 1598146516 | Sarah Ellen Stearns | Nurse Practitioner | 3860 S Straits Highway, Indian River, MI 49749 | 2015-06-16 |
| 1750781688 | Katheleen Joan Hart | Counselor | 3948 S. Straits Hwy, South Building, Suite 1, Indian River, MI 49749 | 2014-08-28 |
| 1467863993 | Tom Zoyiopoulos | Pharmacist | 1201 Lears, Indian River, MI 49749 | 2014-05-19 |
| 1750533246 | Xcel Physical Therapy, Plc | Occupational Therapist | 351 S Straits Hwy, Indian River, MI 49749 | 2008-10-16 |
| 1407904436 | Jennifer Ann Andrew I | Specialist/Technologist | 3805 S. Sraits Hwy., Indian River, MI 49749 | 2007-01-08 |
| 1952321390 | Douglas A Furman | Family Medicine | 7037 West M-68 Hwy, Indian River, MI 49749 | 2006-07-20 |
| 1518983006 | Jennifer A Atkins | Pediatrics | 3860 S. Straits Highway, Indian River, MI 49749 | 2006-07-15 |
| 1609800119 | Robin L Batchelor | Physician Assistant | 6135 Cressy St, Indian River, MI 49749 | 2006-07-10 |
| 1659871705 | Sharon Vadovic | Pharmacist | 3944 S Straits Hwy, Indian River, MI 49749 | 2018-02-15 |
| Find all providers in zip 49749 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568846574 | Thunder Bay Community Health Service, Inc | Clinic/Center | 6800 Wilson Rd, Indian River, MI 49749-9447 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN RIVER |
| Zip Code | 49749 |
Please comment or provide details below to improve the information on THUNDER BAY COMMUNITY HEALTH SERVICE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.